Growth is rarely easy – specifically, growth driven by customer interest and market demand rather than the temporary variety driven by acquisition, cost takeout or organizational restructuring.

Because markets are moving faster than ever, we believe sustainable growth results from:

• Unlocking compelling customer insights to inform growth strategies
• Creating relevant, impactful growth moves
• Executing faster and more efficiently

Through this series of interviews with healthcare leaders, we explore the driving insights, key actions and anticipated impact of their recent growth strategies.

In this edition, we sit down with Fred Turner, chief executive officer and co-founder of Curative, to learn more about his unique vision and approach to driving change in the insurance industry.

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Curative is a groundbreaking healthcare services company that created and launched the first-of-its-kind employer-based health insurance plan. Founded in 2020, Curative reengineered health insurance by providing unmatched simplicity, enhanced engagement and cost transparency with a competitive monthly premium and zero additional costs. Curative is all about building the next generation of large employer health insurance – focused on preventative health and removing barriers to care.

Fred Turner is the CEO and co-founder of Curative. Under his leadership, Curative has shifted from the leading COVID-19 testing provider to an innovator in health insurance, offering plans with no copays, no deductibles and no cost-sharing for in-network care (with the completion of a baseline visit). This model has achieved a 94% member engagement rate, far surpassing industry standards. Turner’s vision is to create a healthcare system that supports holistic patient health.

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What Is the Major Unlock That Informed Your Approach and Strategy for Curative?

When Curative was founded in January 2020, we initially focused on improving sepsis outcomes but quickly pivoted to supporting COVID diagnostic testing. That work exposed us to two key learnings: one, we touched every type of payer and health plan and saw cracks in the system, and two, we learned that consumers have serious fear and anxiety when it comes to healthcare expenses. That fear may prevent them from getting care, for example a COVID test, even when COVID tests are fully covered. We knew we wanted to do something that would move the needle on U.S. healthcare, something that could drive meaningful change in the system.

“Our experience during COVID made us say, the payer dynamic is a real problem with the U.S. healthcare system, and we could build a payer that can drive preventative care and better long-term outcomes.”

We saw the untapped space, where there hasn’t been innovation for decades, as the employer market, which is where 50% of Americans get their health insurance. The U.S. has run a natural experiment over the past 10 to 15 years with High Deductible Health Plans. Fifteen years ago, about 10% of plans met the American Care Act (ACA) definition of high deductible. Today, we’re closer to 60%. Did it work? The answer is a resounding no. Consumers aren’t great at price shopping, and people don’t make rational decisions, particularly when it comes to emotional subjects such as health and their finances.

“The other substantial effect when patient cost sharing goes up is the deferral of care.”

The National Bureau of Economic Research ran a study that followed a group who moved from a low deductible to a high deductible plan over three years. In the first year, you see about a 12% reduction in spending, which looks great – like we reduced healthcare spend. The problem is when you dig into what is happening, you see people putting off primary care visits, checkups and screening tests – even though in the plan design, certain preventative screening tests, like colonoscopies, were covered at $0 out-of-pocket cost. The care that gets put off is lower acuity preventative care.

“If you have a heart attack, you’re still going to go to the hospital, no matter what your deductible is. What the high deductible plan does do is prevent you from getting the checkup that might have avoided that hospitalization.”

How Did That Insight Help You to Create the Curative Platform in a Relevant, Differentiated Way?

We’re trying to approach preventative care differently in terms of the value that we assigned to it. The typical way that an insurance plan looks at loss, or medical loss right now, is every dollar spent as $1. Whether you spend $1 on preventive care or you spend $1 in the hospital, it’s still just $1. The way that we look at it is that dollar spent on a preventative visit could avoid inpatient stays, emergency room visits or specialty drug use.

“Preventative care that keeps people well is a dollar significantly better spent than a dollar on a preventable hospital stay.”

We’re committed to making an investment upfront, to getting people engaged in their care early and then seeing that payoff downstream with lower ER, hospital or specialty drug use. Most employers get stuck in this cycle of deferred care, where the population’s health is decreasing and costs continue to go up. Curative flips the script. We make it easy for people to engage upfront. The cost sharing is zero, so there are zero out-of-pocket costs, no copays and no deductibles to go and access care – as long as you engage in a preventative health visit within the first 120 days of signing up for the plan.

“If you want people to engage with care, you have to make it really simple.”

And the only way to make it simple enough that people really understand the cost to them is to make it zeros across the board. That’s the fear that any engagement in care is bad because I might get a bill for it – that’s what we have to fight. We think the only way to reset people to see a doctor if they’re sick or in a preventive manner to avoid becoming sick is to build trust that those actions won’t cost them a dime. Our philosophy, the long game, is that we will have a higher spend in the first year because people will get the care that they need. But in the second year, we’ll get back to baseline and, by the third year, we’ll actually be saving money because this population will be healthier.

How Are You Proving That Curative Can Execute Results That Employers Are Looking For?

We’re still in the process of building trust with members and employers, but the engagement piece via a preventative visit is key. We get an hour of the member’s time to do two things: one, we aim to educate them about accessing their care through a Care Navigator session. How do they make appointments? What is a deductible? What’s a copay? How do you figure out what doctors are in-network? When should you go to the ER?

“We’re demonstrating that we want them to access the care they need versus an adversarial relationship that members often have with their health plan that doesn’t want to cover what they need.”

That kicks off the relationship in a fundamentally different way and drives a higher degree of engagement. Two, members then meet with a clinician who is looking for gaps in care. If we see a pre-diabetic patient, we want to get them to a primary care physician who’s going to manage their pre-diabetes or even reverse it, rather than letting that continue to full-on type two diabetes, where, if unmanaged, could lead to major health complications that result in tremendous expense – that’s bad for the member and for the health plan. In the longer term, we expect to be able to keep rates closer to flat by managing this care over time, rather than the typical 10% increases you’re going to get from BUCA carrier every year. We’re new to the space and want to make sure that we’re here for the long term.

“It may sometimes seem like moving the boulder of the American healthcare system is impossible, but I think with a lot of dedicated, smart people chipping away at it, piece by piece, we really can make substantial change.”

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Growth is rarely easy – specifically, growth driven by customer interest and market demand rather than the temporary variety driven by acquisition, cost takeout or organizational restructuring.

Because markets are moving faster than ever, we believe sustainable growth results from:

• Unlocking compelling customer insights to inform growth strategies
• Creating relevant, impactful growth moves
• Executing faster and more efficiently

Through this series of interviews with healthcare leaders, we explore the driving insights, key actions and anticipated impact of their recent growth strategies.

In this edition, we sit down with Nick Stefanizzi, chief executive officer at Northwell Direct, to learn more about the company’s origin and philosophy around growing its integrated care network.

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Northwell Direct is a subsidiary of Northwell Health, one of the largest healthcare providers in New York. Established in 2020, Northwell Direct offers a direct-to-employer health care network of more than 31,000 providers and customized wellness programs to support employee health. This allows employers to offer high-quality healthcare to their employees without going through traditional insurance companies. Northwell Health utilizes Northwell Direct’s provider network for its own employee health benefits, ensuring comprehensive and cost-effective care for its workforce.

Nick Stefanizzi is the CEO of Northwell Direct, where he is responsible for the strategy, operations, growth and financial performance of Northwell Health’s direct-to-employer organization. Stefanizzi has been with Northwell Health for 16 years, serving in various roles, including assistant vice president for HR innovation and organization effectiveness as well as director of management services for Northwell’s ambulatory network.

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What Is the Major Unlock That Informed Your Approach and Strategy for Northwell Direct?

Northwell Health had its own insurance company (Care Connect) that was incredibly successful – but we were not prepared for risk adjustment, so that business venture shuttered in 2018. While that was challenging, what wasn’t lost was our belief that playing in that space was the right approach. At the same time, our organization started to grow. We’re the largest private employer in the state of New York, in addition to being the largest healthcare provider. Organically, we started to get inbound inquiries from employers saying, we’re having these kinds of challenges in our employee plan – can you help us figure this out as both an employer and a provider? We saw that we had an opportunity to do something different for the communities we serve. That was really the genesis of Northwell Direct. We then built a business around that concept, not only to meet employer needs but to disrupt the payer space.

“It’s our belief that a more direct relationship between those who provide the care and those who pay for the care is beneficial, and that today, payers have inserted themselves between those two entities.”

There’s still a role for the major carriers to play, but they don’t need to sit between us, and in fact, by working together with the employers and their employees, it’s our belief that we can better manage care and drive improvements in quality and outcomes.

We only work with self-funded employers in their benefit design. In New York state, that means more than 100 employees, and we don’t carry any financial risk, as we do not offer an insurance product. We’re on the hook for performance. Our focus is on delivering value, savings, efficiency and outcomes for our employers. The other thing we didn’t do was invest in building an insurance company. There are third-party administrators that have the capabilities needed to support an employer-sponsored plan, so why not partner instead of building it ourselves and going at it alone?

“We saw a business model that was ripe for disruption and employers who were hungry for support, grappling with the challenges they’ve had with their employee population and desperate to arrest a trend that had been moving in the wrong direction for over a decade.”

We saw an opportunity to build the platform differently with partners.

In Addition to Opening a New Line of Business, What Impact Did Northwell Direct Create for Your Key Audiences?

We’ve made a concerted effort to remove the traditional denials and hurdles in this space that don’t add value or drive for the member or material savings for the employer. While we can accommodate any benefit design requirements, we have examples of clients for whom, if their employees receive care within our tier one network, there are zero prior authorizations needed. And it doesn’t lead to higher costs. There is no statistical difference in unnecessary utilization or unnecessary testing.

“We take a clinical-first approach – what does the doctor believe is necessary?”

We trust that we have providers who are going to do the right thing by the patient and by the plan, and then manage the care intensely to make sure it’s as efficient as possible. It’s about administering consistently with the benefits plan but providing clinically oriented insights into how that benefit design can be enhanced to drive the right patient behaviors and the right patient choice of the highest quality, lowest-cost providers, and then wrapping the member with support that is integrated with and endorsed by the clinician. By taking a provider-oriented approach, our engagement levels are much higher. We’re able to share the care management information back with the provider so they can take a more holistic view. And lastly, what we can do locally that the national carriers can’t is get on the ground. If we have a member who is admitted, we will send a nurse care manager to their bedside to coordinate their follow-up care, their appointments and make sure they’re clear on what happens post-discharge. You can’t do that from a contact center across the country.

“Clinical-first, integrated care management, boots on the ground and a structural approach that is different in terms of our philosophy around denials versus provider enablement – that’s what we’re doing, and it’s fundamentally different from how carriers think about this.”

How Challenging Was It to Get the Business Running, and How Will You Execute Your Growth Future Plans?

It’s hard for health systems to get into this business because it takes investment, and health systems are struggling financially. They are under enormous pressure, there are a lot of competing priorities, and it takes a lot to stand up a new venture like this.

“You cannot do this by having somebody do it off the side of their desk.”

You have to build competency and capabilities. For example, we brought in people with skill sets that traditionally don’t exist within the health system. We’re selling an incredibly complex product in the insurance space, even though we’re not an insurance company. I have licensed brokers that work for me – that skill set and those broker relationships don’t exist in health systems. You have to invest in building the appropriate infrastructure. You need talent that doesn’t necessarily exist from within the organization, and you have to build capabilities. But you don’t need to do it all. Just pick one thing that an employer might need or have a conversation with a major employer in your region and ask what they would want help with and start there. Yes, there are competing priorities, competing investments and a tremendous amount of pressure, but I believe this strategy in the long term will alleviate those pressures.

In the next five years, we will expand the field of play and be a major regional player. There’s an opportunity to grow our network and the geographic footprint of employers we serve. In addition to that growth, we’re diversifying the ways in which we partner with employers. That means new products and services. That means rolling out digital platforms to augment our clinical capabilities. That means partnering differently, even within the insurance space. We’re going to roll out our own bundles and centers of excellence.

“I believe, fundamentally, there is a national opportunity here for health systems to partner together and for us to take the work we’re doing here, to line it up with the work that Baylor is doing in Texas, what Orlando Health is doing in Florida, what Providence is doing up in Washington and California, and for us to figure out how to stitch something together that would allow us to scale nationally.”

That’s a very complicated proposition. I don’t know exactly yet how it will come together, but I believe there are enough health systems that see this as an interesting space and that there’s opportunity for us over time to figure out how to make that possible together.

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Jeff Gourdji, Senior Partner at Prophet, spoke with a number of healthcare leaders to learn more about the challenges and opportunities for platform thinking in healthcare. Here, he speaks with Jamey Shiels, SVP Consumer & Digital Experience at Advocate Health, on the process of driving momentum for and implementing a platform in a health system. 

Deploying a platform approach will be crucial for businesses to thrive going forward. As our colleagues Ted Moser, Charlotte Bloom, and Omar Akhtar observe in their book, “Winning Through Platforms: How to Succeed When Every Competitor Has One” platforms illuminate parts of the customer journey that have historically been dark by enabling companies to have a better, holistic understanding of how customers engage with the organization. In the last decade or so, health systems have begun to observe customers during the “choose” part of the journey, but platforms could enable health systems to understand the “use” part of the journey and how to personalize it to consumers.     

In this illuminating interview with Jamey Shiels of Advocate Health, he shares how he overcame the barriers to building a platform – from driving organizational buy-in to clearly defining a set of metrics to measure key experiences. He highlights how a clear connection between patient needs and business requirements was key to demonstrating potential impact and showcasing the value for a health system in adapting a platform approach. 

What enabled you to align the leadership that platforms were the right move for the business? 

First, our Chief Marketing Officer at the time, Kelly Jo Golson, made [the LiveWell platform] a priority for our brand marketing and experience teams. She determined we were going to be a consumer first organization and platforms were the way to get there. She was able to onboard senior leadership to that vision and align support across the enterprise. 

Second, we built a consumer-first executive committee that allowed us to bring [together] all the key stakeholders that knew we were going to need — Operations, Medical Group, Finance, HR were all in the room with us as we presented the strategy, got buy in and support, and achieved goal alignment.  

Third, we developed a set of metrics called ‘ease of use’ metrics that measure different encounters patients have on the platform and allow consumers to give feedback. We created a closed feedback loop [that allows us to] make improvements that both benefit the consumer as well as the operational people on the other side. We also built those metrics into our incentive plan, so anybody in the organization who was incentive eligible was very interested in embedding the platform into their day-to-day work.  

How did the business determine implementing a platform strategy was beneficial for the reputation of Advocate Health and its success? 

Our challenge was– especially in healthcare – ‘consume’ means ‘use’ and doesn’t mean ‘choose.’ The idea of a patient as a consumer was difficult for some to understand, so we had to go upstream and find a way to understand consumer choice.  

We first aligned consumer insights to our core business metrics of awareness and acquisition. We wanted to go into market with a brand and an experience that would encourage consumers to choose us before [they] use us. 

The second step was in the form of acquisition. Consumers are looking for their wants and needs [to be met when] finding a physician. Therefore, we looked into some of the metrics that the operations team was using in the onboarding experience and connected those to the clinical experience to demonstrate if we lift consumer metrics, we can lift business metrics. That connection between what matters most to consumers with what matters to the businesses was key.  

“I think that’s where platforms can really play a role, by making those connections and making them much easier than they historically have been.” 

Was there a specific leader whose support was crucial in getting marketing, compliance, and clinical leaders on board with this initiative? 

The key leader was our Chief Operating Officer, who had accountability for the medical group, operations, and P&L for the organization and knew the different parts of the business that we needed to align with.  

A big piece [of getting alignment] was saying: ‘We want to co-create this with your team.’ We emphasized how we’re solving consumer needs as well as the business problems.  

Can you talk about the capabilities you built in the platform as you started to build momentum? 

The core functionality that needs to be in a platform is your EHR and transactional HR data. We wrapped that EHR data with a fledgling platform. That gave us the infrastructure to start to add features that improved the patient and clinical experience – and extended into health and wellness.  

We’re also working on integrating third party products into the platform for care-at-home and digital therapeutics. We want to create a true multi-sided marketplace for healthcare that connects health and wellness creators to consumers.   

What was the role of the clinicians in all this? What role are they now playing in advocating for the platform? 

Whether it was governance or co-creation, [clinicians] needed to have a voice in the room. We designed a partnership with a clinical leadership team [to drive] co-creation across the board. We asked: ‘How does this improve your work and fit into your day?’ The benefit is that now, when you go into one of our physicians’ offices, you’ll hear them talk about LiveWell.  

“We’ve seen continued uptake with LiveWell; it is now fully embedded in the operations of our organization.” 

What operational challenges were you solving for with platforms? 

There are three problem areas that we’ve looked at over the last few years: 

1. Online scheduling takes call volume out. When you can message your provider in a secure platform it reduces call volume at the front desk, but you have to ensure you can manage and service the messages on behalf of physicians. 
2. We have a mail order pharmacy that in our Midwest region generates 7 million calls a year related to prescription refill. We think we can take half of that out through new systems automation feature functionality in the platform.  
3. E-Check-In, self service capabilities built in the platform make the consumer’s life easier and helps the frontline staff.  

Where is the platform going in the future? 

“We think the idea of platforms as a business model [in healthcare] for the benefit of consumers and the business is where the future is.” 

The challenge we’re facing from a healthcare perspective is the battle for the soul of the platform. Is that going to be the EHR? Vendors? EPIC primarily? Or third parties? Or are the health systems going to try to step up? Do you want to differentiate within your market, and do you want to deliver an exceptional consumer experience?  

“We’re going to go big into the platform space because we think it is the right decision for our business, and the future of business.” 

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About Jamey: As Senior Vice President, Consumer and Digital Experience at Advocate Health, Jamey Shiels leads enterprise activities focused on creating a personalized and seamless consumer experience that improves engagement and health outcomes as well as business value through growth and cost-savings.  

About Jeff: Jeff Gourdji is a Senior Partner at Prophet and is responsible for leading client engagements across the firm’s range of solutions. As a leader of Prophet’s healthcare industry practice, Jeff works with clients across the healthcare ecosystem, including provider systems, payers, healthcare technology and life sciences companies. 

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Platforms are the key to illuminating the consumer journey. They allow companies to light the “dark” side of a consumer’s journey, the post-purchase “use” side, when previously, only the “choose” side was visible. As our colleagues Ted Moser, Charlotte Bloom and Omar Akhtar observe in their book, “Winning Through Platforms: How to Succeed When Every Competitor Has One,” platforms are the way to enable companies to observe, interact with and provide value to consumers as they engage with the organization. Many industries are already immersed in the platform race – from Amazon Prime’s offering (i.e., ecommerce, Whole Foods, streaming content) to Uber and Uber One (linking rides and eats). Even financial services companies are in the game with strategies from Chase, Bank of America, and more. So, how will healthcare players engage in this new value exchange? 

The beauty of healthcare is we know more about our customers than pretty much any other industry. It’s about how we use that knowledge to personalize, drive conversion, and close gaps in care.

Jeremy Rogers, Executive Director, Digital Marketing & Experience, Indiana University Health

Broadcast connection reflects the one-way communication that marked most of the 20^th century. With the launch of the internet, websites and digital analytics, businesses were able to shine a light on the “choose” side of consumers’ engagement. While it’s often the darker side of the consumer journey, the “use” side that reflects the greatest value – both for business and for consumers.  

(Lighting the choose and use journeys graphic Int. 1.2) 

In the era of platform connection, health systems have an opportunity to capture and deliver greater value to their consumers. And the stakes couldn’t be higher. In healthcare, the data and knowledge gained by this level of consumer engagement could have profound effects not only on that patient and their care delivery, but a systemic impact on how to manage disease states, reduction of challenging SDOHs and improved health equity. Currently most health systems are focused on patient portals and transactional engagement, making this transformation feel daunting, elusive, or even operationally impossible. 

Healthcare is behind, and we all acknowledge this. Think about the hospitality industry and how their rewards programs generate loyalty and word of mouth – the best experience you have anywhere is the experience you want everywhere – and that includes in healthcare.

Ken Chaplin, Chief Marketing Officer, City of Hope 

There’s no doubt this is hard work. There are several reasons why healthcare leaders say it’s been an uphill battle – from a lack of integrated technology systems to concerns around patient data privacy – these are valid reasons to be concerned. However, other highly regulated industries have shown how to connect and protect consumers data. We spoke with several leading healthcare innovators to understand why this work is daunting and what they are doing to overcome the challenges:

1. Non-Proprietary Platforms Are Not Designed for Optimal User Experience 

Health systems often started with their EMR as the main platform, and what was the EMR developed to do? Billing, coding or quality documentation. They certainly weren’t designed for the user experience of a clinical physician or clinical nurse user – let alone a patient.

Jodi Rosen, Vice President Innovation & Digital Strategy, City of Hope 

2. Barriers to Risk-Taking 

We can have zero failure when lives are at stake, zero failure. That doesn’t apply to the business-oriented things we can do. We need to ask to experiment and fail and then fail forward, to learn and get better. But it’s just culturally very tough for people nowadays.

Jeremy Rogers, Executive Director, Digital Marketing & Experience, Indiana University Health 

3. Internal Resistance to Change

How do you have large scale change when you are changing the way people work? Number one, we cannot innovate and bring customer centricity to life without the operators – we can’t move forward until everyone comes to the table.

Sara Saldoff, Head of Product Management & User Experience, OhioHealth 

4. Overcoming Data Concerns With the Right Data Value-Exchange  

I don’t think it’s truly a challenge to get consumers to believe their data is safe. I think it’s about translating, what’s the benefit to them? We must help patients and health consumers understand the value of sharing their data. How do we tell the story in the right way to facilitate their willingness to share private health information or behaviors?

Jodi Rosen, Vice President Innovation & Digital Strategy, City of Hope 

5. Competing Priorities, Competing Investments, and Tremendous Pressure 

You have to invest in building an appropriate infrastructure. You need talent that doesn’t necessarily exist in the system already. You’ve got to build a lot of capabilities. But these strategies, in the long term, will alleviate some of the pressures we’re all facing.

Nick Stefanizzi, Chief Executive Officer, Northwell Direct 

Challenges aside, shifting to a platform-based model is the solution to achieving the transformation C-suite executives have been collectively working towards to achieve better business and health outcomes for patients. 

There’s a massive amount of data that health systems today have access to. If we can get this right and gain more consumer trust, we can harness that data in a way that can help with precision medicine, drug discovery, disease prevention – it’s so incredibly powerful.

Jodi Rosen, Vice President Innovation & Digital Strategy, City of Hope 

Inherent in this shift to platform thinking is a value proposition for consumers: I share information about myself so that a company can provide me with more value via content, loyalty programs and tools. Equally as important is the value generated for the organization. Today, many consumer engagements with health systems are transactional, leading to drop off, and overall brand neutrality. This is exacerbated by behaviors of younger generations (Gen Z and Millennials) who often don’t have a PCP. For health systems, the opportunity to develop meaningful relationships with consumers, whether they need care today or in the future, is essential for driving loyalty and patient volume in any market. 

Beyond the acquisition and retention of patients, there is a halo of benefits for building strong consumer relationships including increased adherence, proactive preventative care, lower costs for the system (both administrative, e.g., faster bill pay, and clinical, e.g., getting preventative screening) and better negotiating power with payers. Properly collected, synthesized and actionable data could ultimately shape future innovations in disease prevention or treatments. Platforms help C-suite leaders optimize and personalize the patient experience with critical knowledge and data-driven insights.  

Platforms are the way to: 

1. Make Holistic Care Real 

This has been an ongoing topic in healthcare. Health systems struggle to deliver holistic care, particularly for marginalized groups. Collecting data and applying insights to deliver better care, based on what patients really need, would drastically upend engagement and loyalty in healthcare. Consider how Amazon uses its data – from grocery shopping to prescription drugs to baby care essentials, to deliver better experiences.  

 Patients are doing all these things in the wellness space that are tangentially attached to their health, but that health systems don’t know about. We don’t know where it’s happening, and we don’t necessarily provide all the tangential services that customers want or need. The question is how much of that experience can we stitch together in partnership with the customer so we can treat the whole person?

Sara Saldoff, Head of Product Management & User Experience, OhioHealth 

We’re creating communities that connect cancer fighters with prospective patients – it’s incredibly powerful and allows us to drive deeper, meaningful relationships with patients.

Ken Chaplin, Chief Marketing Officer, City of Hope 

2. Empower Ongoing Engagement With Health 

It’s no surprise that consumers are willing to pay to engage with their health (i.e., Fitbit; Apple Watch; fitness, sleep, wellness tracking apps, etc.) Connecting the healthcare experience to meet consumer needs and their desire to be “always on” has the power to turn engagements from transitional to longitudinal. Facebook enjoys regular engagement from users drawn in by sharing features, community connections, and a focus on life’s moments (“on this day,” birthdays, etc.). 

So much of the journey happens outside of the clinical experience. What are we doing to engage patients in between those appointments, those procedures? Modern consumers demand autonomy- agency in their healthcare journey. If we can give them agency, they’ll take advantage of it.

Jeremy Rogers, Executive Director, Digital Marketing & Experience, Indiana University Health 

We envision a world where care support is everywhere – a doctor prescribes a curriculum where the patient can access tools and educational content about their prescription regimen, diet, broader wellness – and not have to go digging and find it on their own.

Ken Chaplin, Chief Marketing Officer, City of Hope 

3. Create and Drive New Revenue Streams 

Platforms have the power to optimize white space opportunities to create new revenue streams. They also have the potential to shift health systems’ focus from “sick care” to “well care”. Northwell Direct saw an opportunity to disrupt the traditional payer model and better serve employers by strengthening the connection between health coverage and care. They implemented a plan to reduce the hurdles for providers and patients, to drive to more comprehensive wellness for the employees they serve.  

We have an opportunity to serve our communities through a different pathway. We took this idea and said, how do we create a business around this? Yes, to meet employer needs through services…but also to disrupt the payer space because it’s our belief that a more direct relationship between those who provide the care and those who pay for the care is beneficial to delivering higher quality care and to better managing and improving outcomes.

Nick Stefanizzi, Chief Executive Officer, Northwell Direct 

4. Make Personalized Care Scalable 

The balance between the hyper personal and the need to scale across a health system is daunting. There are myriad nuances that impact or shift an individual’s health journey. Value-generating data collection through platforms can help to bridge this gap. Consider Nike’s app family – from workout classes and SNKRS drops to monitoring runs and alerts when footwear needs replacing based on the integrated mileage tracking, they can serve consumers what they need before they know they need it. 

The dream of our Smart Rooms is to give us real time feedback so we can solve problems with a patient in moment – but down the road, we could use the increased data use and AI to help us anticipate when something could go wrong and recommend solutions so we can get ahead of an individual’s care needs.

Sara Saldoff, Head of Product Management & User Experience, OhioHealth 

If we can hyper personalize, for example, for a person whose family was touched by asthma or coronary heart disease or cancer or diabetes, and determine how to engage that individual over a lifetime with preventative behaviors and interactions, it can cut across things like health, education, literacy, economic status and be inclusive of race, religion, gender, etc. It’s going to be hard – but it’s also going to be a big game changer.

Jodi Rosen, Vice President Innovation & Digital Strategy, City of Hope 

We see exciting signs of progress. It is still early days for health systems, though clear signs of progress are emerging. From OhioHealth’s “smart rooms” to City of Hope’s connected patient communities, there are signs on where health systems are heading. Others, like Advocate Health, are already leading with their LiveWell Platform, which helps consumers manage both their health and their wellness. Jamey Shiels, SVP Consumer & Digital Experience at Advocate Health emphasized that driving organizational alignment required connecting the vision with pre-determined patient needs with business requirements.  For example, easier check-in process means less stress on front-line staff, on-line scheduling means reduced volume in the call centers and more  

We are constantly improving LiveWell, listening to what our consumers are telling us about the experience to create a feedback loop we can engineer back into the experience. We mapped the consumer needs to the business metrics and showed how lifting those needs could improve the business metrics; connecting what matters most to the consumer to what matters most to the business is our biggest challenge but where I think platforms play a large role. We believe platforms are the business model of the future. Healthcare is behind, but we want to get into the game and lead the way.

Jamey Shiels, Senior Vice President Consumer & Digital Experience, Advocate Health 

If platforms are the answer, how do we get started? To begin building a Platform Connection, start by thinking about how to align your platform’s needs with your organizational ambition. Winning Through Platforms lays out a path to success, and it starts with cultural shifts to gain three key advantages: Strategic, In-Market, and Alignment. 

Strategic Advantage: Bring Something Structural to the Market That the Competition Doesn’t Have  

• How might the organization’s portfolio of solutions (i.e. care, coverage, ancillary services) better connect to demonstrate the value of the care network it offers? 
• How can teams better share assets to reduce efforts and increase flexibility? 
• How can the organization align on the customer personas (patients? payers? referring physicians?) and journeys to align strategic intention? 

In-Market Advantage: Grow at Higher-Than-Market Rates Through Better-Than-Competitor Practices, Spanning Go-to-Market and Innovation 

• What technology is required to capture patient information and organize it for action that results in customer and system benefit? 
• How can content across the journey be personalized by life stage, condition type, and relevant social determinants?  
• What role might community and patient-generated content play in enriching the overall engagement experience – and keeping patients engaged beyond the transactional? 

Alignment Advantage: Translate Better Internal Alignment and Teaming Into Stronger Customer Engagement and Superior Organizational Performance 

• How might the traditional functional silos be restructured into a full journey, collaborative, go-to-market model? 
• How will internal teams align on and ensure a consistent set of customer interaction standards? 
• What will define best practices when it comes to an elevated patient experience? 

There’s too much at stake to not figure out the right way to partner for better outcomes for patients.

Jodi Rosen, Vice President Innovation & Digital Strategy, City of Hope 

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Change is hard, especially in healthcare. But in the sometimes lagging, but always vital industry, transformative change enables real people with real needs to live better lives. Not to mention, change strengthens bottom lines, improves investor returns and supports a more productive and sustainable society. That’s a powerful and synergistic business case to inspire all people that work in healthcare to take on the challenge of driving innovation.  

At face value, becoming a “changemaker,” can be daunting. It requires bravery and a clear sense of direction. This new report, from Prophet’s Healthcare team, was written to empower and guide healthcare’s future changemakers so they can ignite change in the industry and realize their transformation goals.  

Based on interviews with 29 senior leaders in healthcare, extensive market research and decades of experience helping healthcare organizations transform, “Transforming Healthcare: The Changemaker’s Playbook,” provides insights and recommendations to drive necessary change in healthcare.  

Download the report for: 

• Deep dives into four areas ripe for innovation and transformation in healthcare:
  • The rise of connected and empowered consumers
  • The expansion of care outside the hospital
  • The ascendancy of Value-Based Care
  • The decentralization and democratization of data
• Highly relevant commentary and insights from industry leaders across the ecosystem 
• Digestible and achievable “next steps” for leaders seeking to become changemakers

Summary

Hosted by Jeff Gourdji and Priya Aneja, Prophet’s Healthcare Changemakers podcast is where healthcare leaders who are driving change in their organizations, as well as today’s healthcare experience, share their stories. In this podcast, you’ll hear from industry-leading healthcare professionals about their personal transformation journeys and what organizations can do to create the next wave of growth today and in the future.

Episodes

18. What We’ve Learned About Changemakers 

Jeff, Lindsey, Priya and senior editor Anna Kuno look back at 2022 and look ahead at what’s next, including a new name for the podcast. The hosts reflect on topics that have stood out, lessons they have learned, and things that have surprised them, as well as why the show is now called Healthcare Changemakers. 

• Listen on Spotify
• Listen on Apple Podcasts  

17. Thomas Cornwell MD of Village Medical at Home 

Dr. Thomas Cornwell, National Medical Director of Village Medical at Home, has made more than 34,000 house calls. That’s astounding considering that home-based visits haven’t traditionally been considered to be a profitable service line. Nothing has been shown to reduce hospitalizations on the sickest patients in society as much as home-based primary care, but the economics haven’t added up until players like Village Medical have found a place for it in their value-based care models. Take a detailed look at the economic engine behind “doing the right thing” and how aligning incentives has transformed the state of home-based care. 

• Listen on Spotify
• Listen on Apple Podcasts  

16. Dan Liljenquist of Intermountain Healthcare 

Dan Liljenquist, Senior Vice President and Chief Strategy Officer for Intermountain Healthcare, discusses physician shortages, the economics of drug development and distribution, and his career path with and before Intermountain Healthcare. Value-based care isn’t a destination; it’s an evolution. Learn where Dan sees that evolution going next and how it has led to the creation of the nonprofit generic drug manufacturing company Civica Rx. 

• Listen on Spotify 
• Listen on Apple Podcasts  

15. A. J. Loiacono of Capital Rx 

A. J. Loiacono, CEO of Capital Rx, believes in unlocking the power of the pharmacist in the healthcare value equation. If we can stop fighting over drug pricing and just let buyers and sellers freely communicate, it would free up pharmacists to be more innovative. Learn how Capital Rx is challenging the traditional PBM (pharmacy benefit manager) space and transforming drug pricing once and for all. 

• Listen on Spotify 
• Listen on Apple Podcasts  

14. Jamey Edwards of StartUp Health 

Jamey Edwards, Chief Platform Officer at StartUp Health, sees transformation through the eyes of hundreds of entrepreneurs that he supports. Their collective efforts are making progress in key areas such as improving access, reducing bias, and addressing health equity. Learn how StartUp Health’s portfolio companies are gaining traction and overcoming blockers of innovation that have limited the industry’s progress until now. 

• Listen on Spotify 
• Listen on Apple Podcasts  

13. Snezana Mahon, Transcarent  

Snezana Mahon, Chief Operating Officer at Transcarent, shares how transparency, care, and empowerment are vital components of a transformation. An empowered healthcare consumer understands the choices that they need to make and has the right information at their fingertips to make those choices. Learn how Transcarent is focusing on the longitudinal experience of care in oncology, behavioral health, and more. 

• Listen on Spotify 
• Listen on Apple Podcasts  

12. Dr. Shoshana Ungerleider, End Well 

Dr. Shoshana Ungerleider, founder and president of End Well, shares how the practice of medicine is changing to better serve end-of-life needs. Without the proper training and education, it can be challenging for healthcare professionals to know where palliative care fits in their patients’ treatment. Learn how End Well is working to transform the dialogue about end-of-life care and honor the needs of patients and their loves ones. 

• Listen on Spotify 
• Listen on Apple Podcasts  

11. Tony Ambrozie, Baptist Health South Florida 

Tony Ambrozie, Senior Vice President and Chief Digital and Information Officer at Baptist Health South Florida, shares how he represents consumers’ digital needs in their personal health journeys. Clinicians are heroes for the most important part of a patient’s journey – providing their care – but it isn’t the only part of the journey. Learn how Tony employs lessons he learned from his time at The Walt Disney Company, why communications preferences are considered table stakes, and how empathy for the operations team goes a long way. 

• Listen on Spotify 
• Listen on Apple Podcasts 

10. Joneigh Klaldun, CVS Health 

Dr. Joneigh Khaldun, Vice President and Chief Health Equity Officer at CVS Health, shares the impact when organizations move beyond buzzwords and embark on a health equity transformation. Disparities aren’t inevitable, and there’s no gene that says that you should have a lower quality of life because of the color of your skin. Learn how to recognize the existence of implicit bias, collect data at scale, and use that data to address disparities in care. 

• Listen on Spotify 
• Listen on Apple Podcasts 

9. Alistair Erskine MD of Mass General Brigham 

Dr. Alistair Erskine, Chief Digital Health Officer at Mass General Brigham, breaks down what’s coming next as major medical institutions embrace the next phase of their digital transformation. While data is currency in managing patient care, it hasn’t been fully unlocked at scale yet. Learn how Mass General Brigham is aligning key digital components of their business model, operations, clinical workforce, and more, to provide a more satisfying patient experience. 

• Listen on Spotify 
• Listen on Apple Podcasts 

8. Tamara Ward of Oscar Health 

Tamara Ward, SVP of Insurance Business Operations at Oscar Health, shares what happens when you put empathy at the center of the transformation equation. Sometimes starting and failing at transformation is still better than never trying it at all because of what you learn along the way. Learn how Tam has learned to align transformation with the core competencies of the business and not get distracted by the hot topics of the moment. 

• Listen on Spotify 
• Listen on Apple Podcasts 

7. Michelle Lockyer 

Michelle Lockyer knows that the pace of transformation can affect the ultimate result in large, established organizations. The longer that a transformation continues, the more challenging it can become for leaders to keep up the momentum and for team members to stay engaged. Learn the myths and realities of transformation in the biotech space, including the three steps on Michelle’s 90-day checklist, her tips for constructing a strong purpose statement, and the attributes she looks for in leaders to drive long-term change. 

• Listen on Spotify 
• Listen on Apple Podcasts 

6. Myoung Cha of Carbon Health

Myoung Cha, President of Omnichannel Care & Chief Strategy Officer at Carbon Health, knows that behavior change takes more than just sharing information. Human beings are wired to act on short-term outcomes rather than longer-term habits where behavior problems often occur. Learn how Carbon Health is creating a new kind of primary care by filling care gaps, creating tighter feedback loops, and leaning into ambiguity.

• Listen on Spotify
• Listen on Apple Podcasts

5. Nick Patel of Prisma Health

Dr. Nick Patel, chief digital officer at Prisma Health, shares what the 2025 version of a holistic experience strategy looks like, and what he’s working on today to get there. Shifting from fragmented care to connected ecosystems requires governance and alignment so that IT, informatics and medical groups can all look in the same direction. Learn the types of personas and data sources that Dr. Patel’s team uses to complete the patient picture and help physicians to provide more personalized, effective care.

• Listen on Spotify
• Listen on Apple Podcasts

4. Stella Sanchez of Teladoc Health

Stella Sanchez, VP of consumer marketing at Teladoc Health, shares how building loyalty with consumers makes it easier to drive behavior change. Transformation requires inspiration, and that inspiration needs to come from a clear vision. Learn how Stella’s team uses a B2B2C marketing model to clearly articulate their vision not just for their client partners, but for the consumers whom they serve.

• Listen on Spotify
• Listen on Apple Podcasts

3. Matt Gove of Summit Health

Matt Gove, chief marketing officer at Summit Health, discusses what health system leaders can learn from the transformation story of merging brands and growing relentlessly during the pandemic. Matt shares lessons about providing access to all the right care, developing the right type of relationships with consumers and the need to bring operations into patient experience work much earlier in the process. Learn more about Summit Health’s ongoing transformation work that has continued since their merger with CityMD, the leading urgent care provider in New York.

• Listen on Spotify
• Listen on Apple Podcasts

2. Mary Varghese Presti of Dragon Medical

Mary Varghese Presti, SVP & GM of Dragon Medical, shares her experience setting the pace and direction for innovation at the same time. She explains the need for having not just a vision and inspiration for transformation, but also the execution and sweat equity to drive it to the destination.

• Listen on Spotify
• Listen on Apple Podcasts

1. Nishi Rawat MD of Bamboo Health

Nishi Rawat MD, chief clinical officer of Bamboo Health, shares her experience in addressing whole-person health by attacking the twin epidemics of opioid abuse and mental health. There is an expectation for transformation in healthcare to happen quickly, but Nishi sees it happening incrementally, and it’s almost unnoticeable at times. Learn more about the work that their team at Bamboo Health is doing to make a difference.

• Listen on Spotify
• Listen on Apple Podcasts

More episodes will be added as the season progresses.

Are you a healthcare leader hoping to join the discussion? Reach out to Jeff, Lindsey or Priya today.

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Every year, Prophet surveys thousands of consumers and asks, “Which brands play an important role in your life at why?” And every year we crunch the numbers, synthesize their feedback and produce a ranking and insight-rich report for business leaders to leverage as they transform and grow their businesses through innovative customer and employee experiences.

This year’s survey focused on questions about the “head” and “heart” of consumers. While companies that won over the “heads” of consumers brought pragmatism and convenience, “heart” winners found ways to connect with them on an emotional level. The top brands – aka relentlessly relevant all-stars – did both.

In the 2022 Prophet Brand Relevance Index® (BRI) leading healthcare entities—pharma, providers, suppliers—gained traction and awareness for bringing innovative solutions during the COVID-19 pandemic. Pharma giants like Pfizer, Moderna and Johnson & Johnson grew in name recognition and brand value as they stepped up to the world stage with life-saving vaccines. Non-traditional care platforms also gained traction as consumers opted for telemedicine experiences.

But which healthcare organization was the most relevant to the lives of 13,500 U.S. consumers? Teladoc Health, the multinational telemedicine and virtual care healthcare company, ranked as the #1 healthcare organization and #21 overall.

The pandemic forced the adoption of virtual care and Teladoc Health’s newly transformed experience was there to meet the moment – providing whole-person digital-first solutions to patients. And with gaining momentum, more and more consumers have begun to embrace digital native health platforms. These platforms are rapidly scaling to become not only the digital care continuum for patients but the care continuum. Traditional sectors of healthcare are drawing inspiration from modern digital healthcare players like Teladoc Health who are taking center stage (and top spots in rankings).

Stephany Verstraete, chief marketing and engagement officer at Teladoc Health, joined Prophet’s brand leadership team in the Prophet BRI webinar to share her take on the organization’s rise in consumer relevancy.

What was the focus of Teladoc Health’s brand in 2021 and is that changing as we step further into 2022?

The pandemic created this unique moment where Teladoc became relentlessly relevant – hitting both on the needs of the ‘head’ and the ‘heart.’

We’ve reached an inflection in the adoption curve of virtual care. Which is something that is pretty rare in the world of healthcare. And I think that really stemmed from being there in the moment of people’s needs. In 2020, suddenly something they had taken for granted – access to a doctor – was compromised. And fundamentally, it transformed the relationship they had with our brand, from being largely “head” dominated, focused on convenience and value, to increasingly meeting those needs of the “heart” side as we became a place that they could safely turn to, speak to, without leaving their home.

How do you ensure brand relevance is at the core of building the brand and customer experiences?

We have been digesting our recognition on the list for the first time and are using the brand relevance construct to put a framework around what we are focused on this year.

People naturally gravitate to Teladoc for the “head” needs – like simplification and transparency – and how it can provide individuals in system-centric environments with experiences that are more “person-centric.” As we think about moving forward, we want to focus on how to make those deeper focuses on the “heart” as we deliver innovative experiences. We want to change the way people think about the Teladoc Health experience – from just sick care to healthcare. This brand thinking is transformative for how we go to market, from a marketing perspective, all the way through how we infuse it in our experiences.

Outside of marketing, what do you do to drive relevance in other aspects of the business? How do you inspire the rest of your organization around a brand?

Getting your employees to be power users makes them your greatest brand evangelists. They are the first line of feedback that we incorporate into our experience.

Fundamentally, the Teladoc Health team is inspired by our mission of enabling all people everywhere to live their healthiest lives. Our 5,000 global employees are really the power users of our services. And I would tell you, as a marketer, who has not spent a career in healthcare, this is unique.

We are very intentional about keeping consumers front and center in all of our strategic conversations. For a lot of our DTC marketers, this would seem like an obvious statement but as you get into a healthcare context, it’s really important. For example, we start every strategic meeting with a story from one of our members. It really has a powerful impact on how to keep us grounded in our company’s true north. That is the experience we are delivering and the people we are helping. We are defining a category and something for consumers that is new. When I talk about the brand, it is critical because our brand relevance is still being formed for a lot of consumers.

It is rare to see a study of this kind that can parse out innovative and traditional brands in a way that is relevant and meaningful for all of them. That’s something that we’ve really appreciated.

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Will 2022 be the year when the new normal finally kicks in? Will digital transformation in healthcare pick up steam? Who will acquire whom? Will the pandemic finally be behind us or will new variants keep it front and center?

After several tumultuous years in a row, we expect 2022 will bring plenty more disruption, much of it driven by the usual suspects of rising consumer and patient expectations, ever-advancing technology and intensifying perennial pressure to reduce costs and increase access. Per tradition, here are our annual healthcare “hot takes” as we think about the year ahead.

2022 Trends in the Healthcare Industry

We’ll Stop Talking About Virtual Care

Just as cable television and streaming became TV, mobile phones became phones, and  online retail and e-commerce reverted to being plain old retail, virtual care will become just “care.” Increasingly, patients don’t differentiate between telehealth from in-person visits – it’s all just one connected experience of care.

This is partially a semantic development but highlights a critical – and unstoppable – trend. Some residual discussion of omnichannel care will persist, as health systems and providers continue to adjust. But final pockets of resistance will fall; even specialties like dermatology and pediatrics will expand their use of virtual (whoops – you see how hard it will be to stop using that word, but we’re convinced it will happen!).

Labor Shortages Won’t Be Solved with More Healthcare Workers

The talent gap and worker shortages will be recognized as unsolvable – at least with current strategies. There are simply not enough doctors, nurses and paraprofessionals around to fill all the open slots. The same is true of data scientists, experience designers, financial analysts and all the other skill sets that are in huge demand within healthcare and just about every other sector.

Rising wages (especially for nurses) highlight how talent shortages can’t be addressed by simply throwing money at them. According to Mercer, 900,000 nurses are expected to permanently exit the healthcare workforce, causing 29 states to face a shortfall of registered nurses in the next five years.

Seeing that they can no longer simply try to win over more nursing students, healthcare orgs need to embrace new talent strategies. They must find new types of workers they can train to play specific roles. Think engineers-in-training to map out new care pathways or data scientists and AI experts designing diagnostic tools that replace nurses’ intake forms and handle initial reviews on medical images.

Kaiser’s foray into medical education suggests how different the thinking will have to become, though, of course, such capital-intensive approaches won’t be an option for every health system. Digital solutions and smarter workflows that replace steps in care delivery, rather than simply automating routine steps, are also key. It’s a matter of succeeding with fewer workers, an operating model, workforce and tech portfolio that has the flexibility and scalability to deal with future growth.

Home Care and Diagnostics Get More Active and Outcome-Based

Post-Theranos and uBiome, the diagnostics boom continues, but we get no bonus points for predicting that growth accelerates in 2022. After all, diagnostic startups had raised $5.4 billion in 2020 – up 19% from the year before, according to Pitchbook. The prevalence of at-home COVID testing will pave the way for many new classes of tests – from fertility and prenatal to cancer and heart conditions, to stress and hormonal issues.

More significantly, we’ll see an important shift from monitoring to active treatment. For chronic care conditions, patients will become equipped with tools they need to solve common issues on their own and at home. For instance, remote patient monitoring tools will provide automatic alerts to patients (e.g., to adjust medications) and providers (e.g., to trigger nurse visits) when patient conditions deteriorate.

“There’s a device for that” will become a strategic default, as treatments are embedded in – or at least accessible from – monitoring devices.

Behavioral Health Evolves to Be A Standard Workforce Benefit

Employee demand for mental health and wellness will inspire large employers to greatly expand access beyond EAPs and therapy. This evolved employee expectation also prompts HealthTech firms to innovate with a fresh wave of tools and solutions available for providers and patients that seek to identify and address behavioral health challenges before they’re exacerbated, including solutions like Sanvello, an app that uses clinical techniques to help dial down the symptoms of stress, anxiety, and depression.

This momentum is another example of the confluence of trends in the post-COVID landscape; everyone is more aware of the need for better behavioral health monitoring and treatments. And employers navigating the Great Resignation must do everything they can to keep employees.

Pharma Takes the Lead in the Drive to Data Unification

Data unification across healthcare has been an “imagine if” proposition – and a huge barrier to innovation. This year, pharma, with its substantial capital and ability to disrupt at scale, makes a major bet to break through the traditional data hoarding problem.

Pharmaceuticals are primarily motivated by the opportunity to use real-world data (RWD) to inform and streamline drug delivery and development. Specifically, they will find new ways to securely blend and anonymize data from EHRs, home care settings, mobile devices, social media and other sources.

Their success will prompt other players – providers, payers, tech platforms, consumer apps and devices – to establish new standards for sharing and using data. For example, Cerner launched Cerner Enviza to sell EMR data in a secure way while protecting patient identities. Ciox merged with Datavant to help accelerate token adoption and increase usage of RWD and real-world evidence.

Bonus prediction: we might see some regulation shifts to give consumers unprecedented degrees of data control, portability and security. Further good news: all the investments and work on the countless data monetization initiatives underway across the industry are not lost but provide a foundation for future success.

ESG Goes From Feel Good Topic to Uncomfortable Issue in Healthcare

In 2020, there were healthcare heroes everywhere and the industry’s pandemic-fighting efforts were rightly applauded. There was also much discussion about access to care and health equity. In 2022, the media, government and public will once again ask these challenging questions of healthcare organizations. Beyond the normal inquiries into the high cost of care, senior executives will be asked why equity and access have not improved more in the wake of the pandemic and how their organization’s purpose statements play out in day-to-day operations.

Increasing health equity is extremely difficult in a world of thin margins; start-ups will deliver some innovation in the public health space, but it’s clear that the largest incumbents will be challenged to “walk the walk” on health equity in ways that match the considerable amount of talk about it.

Similarly, healthcare’s climate impacts will be increasingly in the spotlight. The industry’s carbon emissions represent about 5% of worldwide totals, according to the New York Times. C-suites and boards will make stronger commitments and clearer plans. Public companies will face especially sharp pressure, as they face up to the reality of ESG ratings and the risk of stock price hits if they are excluded from rapidly expanding ESG index funds.

“2022 will bring plenty more disruption, much of it driven by the usual suspects of rising consumer and patient expectations, ever-advancing technology and intensifying perennial pressure to reduce costs and increase access.”

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In The 2021 State of Digital Content Report, Altimeter surveyed 375 top content executives at businesses around the world to understand the content challenges their organizations face. What did the research indicate? Companies are feeling the pressure to churn out high-quality, relevant digital content like never before.

While not all companies can keep up with the accelerated pace of content creation, Altimeter found that those that are successful in meeting this demand have implemented an “Agile Content System.”

What is an Agile Content System?

Though all industries failed to hit the mark perfectly on every capability of an Agile Content System, healthcare, specifically life sciences and pharmaceuticals that were surveyed, was found to be the biggest laggard. Due to legal limitations for data use and messaging, healthcare organizations need to manage strict oversight and time-consuming content reviews – making it increasingly difficult to personalize and approve content, decentralize content creation and measure the ROI of marketing investments.

“Real-time publishing is key to producing high-quality, digital content at scale.”

To put it into perspective, one pharmaceutical client told us that it would take their company over 80 days, with 40 handoffs and 12 people involved to get a single email approved. By contrast, a vacuum manufacturer switched from producing vacuum cleaners to ventilators in under a month as soon as COVID-19 hit!

But there is a prescription for improvement. Healthcare organizations can optimize their digital content strategy by leaning into three imperatives.

Imperative 1: Ensure Technology and Workflows Streamline Approval Processes

In an Agile Content Strategy, real-time publishing is key to producing high-quality, digital content at scale. However, this requires that the approval and compliance processes are structured in a way that optimizes fast, efficient publishing – as opposed to slowing it down.

With multiple reviews by multiple stakeholder groups – ethics boards, legal teams and subject matter experts – the entire end-to-end approval process can hold publishing timelines back. While healthcare companies cannot completely do away with these regulatory checks, they can:

• Invest in better content approval software: Companies are increasingly investing in technology to improve the approval process, with 16% having reported using a dedicated compliance platform (Altimeter, 2021). Software, like Veeva Systems, that streamline the approval process and allow for quicker review, can help standardize and drive efficiency in the overall workflow.
• Leverage a modular content creation approach: Creating smaller pieces of digital content (e.g., a paragraph of text) that can be sent for faster approval can help content teams accelerate their publishing speed. In addition, it allows bite-sized chunks of content to be combined in different ways based on consumer demographics, which improves audience targeting and personalization.
• Clearly define content roles: With various content being created across the entire organization, it is important that roles are crystal clear in terms of who is owning what. For example, corporate marketing could own industry-wide content whereas business units could own their sector and/or regional themes, etc. When teams are aligned to their content roles and responsibilities, it makes it easier to create and approve content at a faster pace.

However, healthcare organizations cannot rely on improved technology or modular content alone. To address and improve the root cause of a slow approval process, the industry must move away from an archaic content team structure and toward a more autonomous, decentralized model.

Imperative 2: Restructure Content Teams for Greater Agility

Compared to other industries, healthcare organizations tend to centralize how to create and approve content. This process preserves the brand, ensures compliance and creates consistency across all touchpoints. But it also slows down content development and limits the potential impact content can have on strategic business objectives.

To move forward, healthcare organizations should consider restructuring their content teams to allow for greater agility while still meeting consistency needs. Here are two different strategies to consider based on where decentralization makes the most sense for the business:

• For organizations that need to focus brand awareness (e.g., showcasing a new brand, launching a product), centralize the content strategy, but decentralize creation: Have a centralized entity develop a unified content strategy, and then allow for brand owners within the organization to execute it. This approach not only creates consistency but also allows for brand owners to create content at a speed that meets their business units’ needs.
• For organizations that need to generate leads or revenue (e.g., moving into a new market), centralize the content creation, but decentralize strategy: Have a centralized entity continue to create content, but allow for leaders of various departments across the organization to drive the content strategy. This approach ensures that all content meets brand, legal and consistency requirements while empowering individual teams to own the strategy and ensure it ladders up to their established KPIs.

Imperative 3: Set Bolder, Clearer Goals That Go Beyond Brand

While other industries are finding ways to track how their content delivers on clear objectives (e.g., e-commerce conversion or account sales), the majority of healthcare companies (40%) chose brand awareness as their top content strategy goal (Altimeter, 2021).

Although some healthcare organizations have goals that are inherently difficult to track against content initiatives, like patient leads and health outcomes (looking at you, health systems), there are strategies your team can implement to make the most of your content:

• Invest in more holistic measurement systems: Which overall business objectives could your content goals help advance? Having a clear answer to this question will help facilitate buy-in and investment, even if it’s simply what the content can achieve on its own. Remember that building a holistic measurement system won’t occur in a day. You’ll need to collect data and map out how metrics interact with one another. Then, you’ll be able to attribute the effects of content strategy actions to the business outcomes and outputs. As your organization develops the ability to track and measure more inputs, your measurement system will become more robust, and more useful to guide future content strategy decisions.
• Create more intentional, measurable goals: If a holistic measurement system is out of reach, set clear, specific goals for content strategy. What does the organization want content to achieve at a strategic, not tactical, level? From a clear content strategy, teams are better prepared to create and measure KPIs that specifically deliver on the strategy. For example, if an organization decides that content should be used as a window into the organization and shows how the organization treats its employees and its policies toward suppliers/vendors, it’s the organization’s team can better measure how content is impacting perceptions of transparency and trust (via internal/external surveys, social listings, etc.).

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The biggest challenge for today’s businesses is to consistently produce personalized content at a large scale, deliver it at breakneck speed, and credibly have an impact on revenue. The businesses that are successful in this endeavor have invested in an innovative set of capabilities that make up an “Agile Content System”.

Imagine you had a front-row seat to the world’s foremost scientific teams as they worked to develop a life-saving vaccine. The filmmaking team behind CNN’s “Race for the Vaccine“ recently did just that, and Prophet’s healthcare team sat down with a few of them in conversation.

“To be a strategic storyteller, acknowledge that every interaction is an opportunity to build the relationships that could lead to the next great story.”

Produced by the Global Health Reporting Center and narrated by Dr. Sanjay Gupta, “Race for the Vaccine” tells the story of the Oxford University, the NIH, Pfizer, University of Queensland and China’s CDC teams that undertook the heroic task of developing a COVID-19 vaccine as the virus swept the globe. Co-Director Caleb Hallerman and Editors Brain Truglio and Shayon Maitra joined the healthcare consulting team to share their experience making the documentary and how their efforts were designed to build confidence in the scientific processes that underpinned the vaccine development.

Whether in journalism or business, well-crafted narratives can engage audiences in an authentic and persuasive way – what Prophet’s founder emeritus David Aaker likes to call “signature stories.” Here are our takeaways from the conversation – which provide lessons for anyone who tells stories in a business context.

Lessons from Filmmakers: How to Tell Stories in the Business World

1. Know Your Beat: The Power of Relationships

Relationships unlock access to great content. In the case of “Race for the Vaccine,” relationships allowed the documentary to tell a truly global story. Because of former projects and collaborations, Caleb and the Global Health Reporting Center were able to get access to research institutes including China CDC. As Caleb pointed out, “the most important relationships you have are the ones you have before the story breaks…to make those connections before you’re in the midst of a crisis.”

To be a strategic storyteller, acknowledge that every interaction is an opportunity to build the relationships that could lead to the next great story. In doing so, you’ll build credibility and trust not only through direct interactions but also by virtue of second-degree connections to other people, expertise and opportunities. Also, the broader that network is, the greater the opportunity to bring a diversity of perspective and experience to strategic recommendations and communications.

2. Find the Right Source: Characters Who Make the Story

People want to connect with other people. And to create a powerful story you need characters that keep audiences interested and invested in the story you’re telling.  As Brian Truglio pointed out, “Character is really what drives the story…the most important thing is that you have interesting people who bring energy to the topic, and who can explain it. If you don’t have that…it’s not going to stick with people.” In “Race for the Vaccine,” this meant finding the scientists who could guide audiences on this complicated scientific journey such as Dr. Kizzmekia Corbett (NIH) and Dr. Keith Chappell (University of Queensland-Australia).

As business transformation leaders, it’s equally important to identify the central characters in any team you lead. What are individuals on your team passionate about? Where do their strengths lie? And where do the two come together to influence the business to adopt a strategic decision? Identifying what makes for a strong character at your organization can help rally it to change by clearly communicating its benefits to the market and modeling the behaviors that will lead to its success.

3. Go Beyond the Headline: Context Matters

It probably won’t come as a surprise that one of the challenges the filmmakers faced was capturing moments with the scientists in their labs. In early edits, one the biggest problems they identified was the lack of footage showing scientists in lab coats. It ran contrary to Brian and Shayon’s mantra for editing documentaries, “Show, don’t tell,” and required additional shoots and thoughtful editing to ensure that there was the right context to establish the credibility of these scientists. If the filmmakers had only had images of Dr. Corbett or Dr. Barney S. Graham at home, it may have limited viewers’ confidence in the safety and scientific rigor behind the vaccine research.

This experience highlights just how much context matters in strategic storytelling. In any business transformation, understanding the starting point – and how that starting point impacts any solution proposed to a business challenge – is critical to how a story is shaped to business leaders and executives. The synergy between story, strategy and action is the basis for credibility and trust, and the foundation for business success.

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It’s no surprise that the pandemic has changed the way consumers interact with healthcare. We see it in the proliferation of virtual care across the care continuum, from acute to chronic, episodic and now primary and preventive care. We see it in the embrace of new digital devices and programs designed to monitor chronic conditions at home. And we see it in the uptake of digital pharmacy services that promise ever-faster delivery times and simple, easier, prescription transfers. These shifting consumer need states are forcing companies to action.

Those that will win with consumers in the post-pandemic age are the ones that will accelerate innovation as they reimagine their business models – integrating and re-configuring assets around emergent consumer use cases.

Here are three healthcare business design imperatives for making markets and capturing post-pandemic value through big, bold and transformative moves:

1) Trade the value chain for value exchange

The old news? Payers, providers, pharmaceuticals and MedTech companies once controlled discrete pieces of the value chain. Today, they are operating as collaborators and competitors alongside one another – with non-healthcare entrants (financial services and technology companies) also looking for a piece of the pie.

The new news? “Who does what” doesn’t matter to consumers, instead they value the promise of an integrated approach to health. Whether you build, buy or partner, leaning into the discomfort of superseding the value chain can lead to transformative, new offers. Teladoc Health is a great example of a company that bet big on the idea that virtual primary care is here to stay. It built the Primary360 platform as an entryway to take advantage of its unique portfolio of assets from acute and episodic care (Teladoc Health) to chronic care (Livongo), behavioral health (BetterHelp), and more.

Alternatively, a company that took the partnership route is Cigna. They joined forces with Oscar Health to create an integrated, easily navigable approach to health plans for small businesses. By bringing together Cigna’s provider network and Oscar’s technology platform, they’ve created a relevant solution for the small business population that meets their needs.

2) Meet consumers in the messy middle

If transcending historical value chains is one way to play, another is to exploit the current outages in the value chain and become the middleware that bridges a care gap. Emerging care gaps could include areas like post-acute care, kidney care, pre-and post-Cancer treatment, and health conditions at the intersection of health and wellness (e.g. sleep, behavioral health).

Take recently acquired startup PatientPing, which focuses on the post-acute care space. Through its technology platform, the company can coordinate care by “pinging” healthcare providers when their patients are treated at other facilities. For instance, a provider could be notified in real-time when a patient is transferred from a nursing home to another outpatient setting. Now, with its acquisition by Appriss Health, close to 1 million healthcare professionals across all 50 states can be connected across care settings.

“Those that will win with consumers in the post-pandemic age are the ones that will accelerate innovation as they reimagine their business models.”

In another direction, Alula Health is a startup tackling the “messy middle” of the physical, emotional and financial changes involved with a cancer diagnosis and treatment process. Alula’s platform focuses on patients and their caregivers. They provide organizational tools such as spreadsheets and calendars to ease treatment coordination and a curated list of cancer-specific shopping items (e.g. post-surgery bras and robes with extra room for prostheses or drain management, “Travel to Treatment” bundles with pill organizers, sickness bags, sanitizing wipes, and face masks).

A final example is Talkspace, a platform aimed to make behavioral therapy more accessible. In a world where the dominant method of therapy was administered through expensive 1:1 sessions, Talkspace broke the prevailing mode of thinking and dispensed therapy through bite-sized, text-based interactions – a new modality for meeting the needs of those struggling with mental health challenges discreetly and without confining therapy to a set date/time. In doing so, they normalized therapy for a whole new, addressable market and have since expanded to partner with employers to offer its service as part of workplace benefits.

3) If it doesn’t have their name written on it, it’s not for them

The third hack for making markets through transformation is to address the unmet needs of unique consumer populations. Traditional provider-driven healthcare focuses on triage to identify a treatment path for every patient. But flipping this approach on its head allows for a deeper level of focus, prioritizing time, resources and expenses to solve the needs of one population group more effectively than a general solution.

Segment-specific opportunities are everywhere and can include:

1. Those with a stigmatized condition
2. An underserved population with unique needs
3. An overly generalized population.

A good example of the first opportunity is Ro, self-styled as “the patient company”. Ro started by providing telemedicine and prescriptions for erectile dysfunction via its Roman brand, but gradually expanded to include other medical challenges like smoking cessation (via zero) and weight management (via Plenity). With the technology infrastructure, brand architecture and consumer base established, the company can pursue additional disease states with room for growth.

An example of the second segment-specific opportunity is Included Health, newly acquired by telemedicine provider Grand Rounds / Doctor on Demand. Included Health focuses on the needs of the LGBTQ+ community, who have all too often faced challenges finding culturally competent and affirming providers. The company works with employers to provide benefits to individuals that help them connect to physical care providers, mental care providers, community support and gender-affirming care.

The third-dimension type of play is to identify an overly generalized population – and the field of women’s health is a great example. While some companies have developed “female” healthcare brands, women have different needs by life stage. The spectrum of startups in today’s women’s health space demonstrates different focus areas such as reproductive/sexual health, pregnancy and postpartum, as well as menopause. Within each focus area, individual companies target specific challenges. For example within the category of reproductive/ sexual health, some companies focus on areas such as fertility (Modern Fertility, recently acquired by Ro), cycle tracking (Glow), birth control (Nurx) and more.

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How 12 Industry Leaders Are Shaping the Virtual Care Revolution

The role virtual care plays in the healthcare ecosystem has rapidly accelerated since the onset of COVID-19. In fact, according to research by Doximity, as many as 20 percent of medical visits in 2020 occurred via telemedicine. And it’s clear the trend is only gaining momentum.

To assess how the healthcare universe is responding, Prophet spoke to 12 leaders across the ecosystem to understand how this shift is transforming the patient experience and the broader healthcare care continuum.

Read this report to gain deeper insights on:

• Four virtual care sub-categories and the ways they continue to blur virtual wellbeing, connected health, virtual health and virtual medicine
• The changing dimensions of audience and interactions
• Insights from 12 industry leaders on what organizations are – and aren’t – getting right
• Three path companies can take to connect virtual care to better serve patients and customers and to achieve exceptional growth

For full insights, download the full report below.